Bài giảng hội chứng hôn mê

Héi chøng h«n mª
Héi chøng h«n mª
PGS. TS Ph¹m NhËt An
PGS. TS Ph¹m NhËt An
Môc tiªu
Môc tiªu
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1.§Þnh NghÜa vµ mét sè thuËt ng÷:
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Causes of coma
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Ph©n lo¹i
Ph©n lo¹i
E!"#
E!"#
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>a-#4$>UF>U3+a!\-+(
3B!
3B!
N +#U
N +#U
! #G<#$E!!M!!"(
! #G<#$E!!M!!"(
XL3A
XL3A
>,,
>,,
$!"X#b>"#K""E":!ff2(
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Ph©n lo¹i (tiÕp theo)
Ph©n lo¹i (tiÕp theo)
"3B&#>g
"3B&#>g
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WKXL3A,!!
WKXL3A,!!
WKa-#4a,
WKa-#4a,
WKgh

WKgh
WK!#i_U
WK!#i_U
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E!"&!#'


W8MM@
W8MM@
MBW>a-#4
MBW>a-#4


W8j
W8j
>a!\WkAW3B!W>,,
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

W8T
W8T
XL3A>,!!,,
XL3A>,!!,,
3B!
3B!
>a!\
>a!\
lU
lU
Ph©n lo¹i

Ph©n lo¹i
(TiÕp theo)
(TiÕp theo)
"+!#&-]!"
"+!#&-]!"
WMG!/+.#a!\
WMG!/+.#a!\
W3+-]"+.#g-#!m@A3F>
W3+-]"+.#g-#!m@A3F>
3+A3!3H!
3+A3!3H!


W3n-+C@`#J*+
W3n-+C@`#J*+
5
5


W*,!,!!!.!o!o
W*,!,!!!.!o!o
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
5.§¸nh gi¸ møc ®é h«n mª
5.§¸nh gi¸ møc ®é h«n mª
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W"),
W"269,
W"269,
W"+!.-+

W"+!.-+
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
01
01


L""
L""


MX"
MX"


p
p


N"!"
N"!"
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S`El
S`El
$"!/!#D#!#
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##("
##("
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Thang ®iÓm GLASGOW
Thang ®iÓm GLASGOW
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Wg+&@
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)Wv@>6wW@`oW2@>x

013M"@
013M"@


-
y"i"
y"i"
@
@
zM!"#2Y#:/")Y
zM!"#2Y#:/")Y
Y>"z
Y>"z
-
`"X""
`"X""
@
@
zi"!":9Y3D#":
zi"!":9Y3D#":
K"!":2Yc!"1:)Y

K"!":2Yc!"1:)Y
c"""1:Y>"z
c"""1:Y>"z
-
F!X""
F!X""
@
@
zi":tYL{"
zi":tYL{"
9Yh!:1D2YSD"_
9Yh!:1D2YSD"_
!#)Yy_!"!#Y>"
!#)Yy_!"!#Y>"
Glasgow Coma Scale score Criteria
Glasgow Coma Scale score Criteria


S"|9"
S"|9"


S"}9"
S"}9"


y""
y""



2M!"#
2M!"#


)/"
)/"






>"
>"
`"
`"


9i"!":S"!1:
9i"!":S"!1:


"!""bD"
"!""bD"
23D#":L"!##!!"
23D#":L"!##!!"
)c!"1:3"!
)c!"1:3"!
c""/"#:F!
c""/"#:F!

>""!
>""!
F!
F!


ti":>!"#
ti":>!"#
9L{"#!$|f!:(h!:1!!#
9L{"#!$|f!:(h!:1!!#
2h!:1D":
2h!:1D":
)["_!#!
)["_!#!
y_!"!#!
y_!"!#!
>""!#!
>""!#!
6.
6.
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ChÈn ®o¸n
A~
A~
g+LM
g+LM
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
W3n!U@XLV!•L!/HUKO
W3n!U@XLV!•L!/HUKO

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WKO!+R#
WKO!+R#
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WgnKOg-#!m
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k^!
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34+
34+
First assessment of coma etiologies.
First assessment of coma etiologies.
3"_!OE"#"
3"_!OE"#"
c!!!"D#!":!"{@
c!!!"D#!":!"{@


c!_!$_:""#"!:#(
c!_!$_:""#"!:#(
y_!:$!"#"!:"(
y_!:$!"#"!:"(
M"{#"$!!#""!#(
M"{#"$!!#""!#(

F"!$""!""!S::•:""(
F"!$""!""!S::•:""(
y"!!:"d##$!""""(
y"!!:"d##$!""""(
F"@
F"@
cD"!$F"!""!(
cD"!$F"!""!(


`#$#:""(
`#$#:""(
L!"{@
L!"{@
S"!$""/"#!
S"!$""/"#!
"!#(
"!#(
M"!$:DD#"_e#!"#:#"!(
M"!$:DD#"_e#!"#:#"!(
[!":D#!@
[!":D#!@
A"!:"!"D!#
A"!:"!"D!#
/"!"#
/"!"#
7.§iÒu trÞ
7.§iÒu trÞ
>#!s#
>#!s#

@
@
WNJJ+&ZG@AAA
WNJJ+&ZG@AAA
Wg.+!+P,%
Wg.+!+P,%
W3‚,
W3‚,
W3Zn
W3Zn
WK:ƒ
WK:ƒ
W*<#!=6#@
W*<#!=6#@


#„!"Z#
#„!"Z#
Ki m soát áp l c n i sể ự ộ ọ
Ki m soát áp l c n i sể ự ộ ọ

>#5! #ắ
>#5! #ắ

" #5ă
" #5ă
8.Tµi liÖu tham kh¶o
8.Tµi liÖu tham kh¶o
>-!H………
>-!H………

E":!ffffw
E":!ffffw
3B&#-fff
3B&#-fff
y":"
y":"
F":">"!b
F":">"!b